2018-258-E AMS - Signs Now Plaque for OCEMS

Browse Search

DocuSign Envelope ID: A5AB1B24- 19CD- 42BO- B56F- 7D38B89B9C30 ACC>RL? CERTIFICATE OF LIABILITY INSURANCE 166.,� DATE (h.1MDDYYYY) 1 1212112017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER. AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy. certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME Louise Churchill PHONE x No (919)479 -1868 Herring & Bickers Insurance Agency 2344 Operations Drive ADDRESS INSURER (S)AFFORDING COVERAGE NAIC a Suite 101 INSURERA HARTFORD CAS INS CO 29424 Durham NC 27705 INSURED INSURERS Erie Insurance Exchange 26271 INSURER C: Signs Now /Occasions Engraving, Stokes Inc dba INSURER 0: $ 1000000 1322 Fordham Blvd INSURER E. $ 2000000 PRODUCTS - COMP +OP AGO INSURER F Chapel Hill NC 27514 COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONSAND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE L U POLICY NUMBER POLICY EFF fMM DD'YYYY POLICY ExP MIXDD?YYYY L1A91T5 A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE FK OCCUR N N 22SBAUC3584 08/1012017 08/10/2018 EACH OCCURRENCE $ 1000000 DAMAGE TO RENTFIT_ PREMISES Eaoccurrence M E D EXP (Any one person) $ 10000 PERSONAL& ADV IN JU RY $ 1000000 GEN'L AGGREGATE LIMIT APPLIES PER X POLICY PRO- JECT LOC OTHER GENERAL AGGREGATE $ 2000000 PRODUCTS - COMP +OP AGO $ 2000000 $ AUTOMOBILE LIABILITY ANY AUTO ALL OWNED �! SCHEDULED /� AUTOS AUTOS NON- OWNED HIRED AUTOS AUTOS N N Q09- 0630393 09/06/2017 09/06/2018 COMBINEDSINGLE LIMIT Ea accident $ 1000000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PRO PERTYDAMAGE Faraccidein UMBRELLA LIAR EXCESS LIAR CLAIMS -MADE EACH OCCURRENCE HOCCUR AGGREGATE $ DED I I RETENTION $ $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY b FICERVEMBER EXCLUDED EXECUTIVE � (Mandatory in NH) It yes, describe under DESCRIPTION OF OPERATIONS below NIA N 22WECRH7577 08/1012017 08/10/2018 I PER OTH- STATUTE ER E, L. EACH ACCIDENT $ 140000 E.L. DISEASE - EA EMPLOYEE $ 500000 $ 140000 E.L. DISEASE -POLICY LIMIT DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Operations usual to sign banners mfg /engraving in NC. Officers are excluded from Work Comp. CERTIFICATE HOLDER CANCELLATION Orange County 131 W Margaret Lane Hillsborough NC 27278 1 Fax• Finail ACORD 25 (2014/01) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Y i�T:r :ar �tir•� rrrs�:�rrrrr�a3ricirtrrraWAIIII a a►ra, The ACORD name and logo are registered marks of ACORD